Goosen Simone, de Jong Petra J, Sherally Jamilah
Johannes Wier Stichting voor gezondheidszorg en mensenrechten, Amsterdam.
Contact: Simone Goosen (
Ned Tijdschr Geneeskd. 2020 Nov 23;164:D5413.
In this commentary we discuss the findings of the study by Verschuuren et al. on pregnancy outcomes in asylum seekers centres in the North of the Netherlands. Although alarming, the findings do not surprise us. A lack of continuity in care, language barriers and limited understanding of the healthcare system are just some of the factors shown to result in substandard care that we see regularly in our daily practice. Our main recommendations for healthcare practitioners are to: a) work with professional interpreters; b) maintain an active attitude in inquiring whether an asylum seeker is pregnant; and c) ensure effective collaboration between social and healthcare services. Additionally, we advise healthcare practitioners to: a) actively work on building a relationship of trust with their patients; b) plea for the minimisation of relocations and c) urge researchers to study mortality, morbidity and effectiveness of care around pregnancy and childbirth in the three refugee groups.
在本评论中，我们讨论了费尔舒伦等人关于荷兰北部庇护寻求者中心妊娠结局的研究结果。尽管这些发现令人担忧，但并不让我们感到意外。护理缺乏连续性、语言障碍以及对医疗保健系统的了解有限，只是我们在日常实践中经常看到的导致护理不达标情况的部分因素。我们对医疗从业者的主要建议是：a) 与专业口译员合作；b) 积极询问庇护寻求者是否怀孕；c) 确保社会服务与医疗服务之间的有效协作。此外，我们建议医疗从业者：a) 积极努力与患者建立信任关系；b) 呼吁尽量减少迁移；c) 敦促研究人员研究三个难民群体围孕期和分娩期的死亡率、发病率及护理效果。
